The hidden globe: A case report on traumatic complete dislocation of the right globe into cranial cavity
Objectives: To emphasise the role of point of care ultrasound (POCUS) as diagnostic modality in investigation of orbital trauma and to share an extremely rare case of eyeball dislocation into anterior cranial fossa. Case Report: A 65-year-old gentleman presented to the hospital after a lor...
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2020
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my.iium.irep.1170872024-12-26T00:26:06Z http://irep.iium.edu.my/117087/ The hidden globe: A case report on traumatic complete dislocation of the right globe into cranial cavity Gan, Rick Kye Abu Hasan, Muhammad Abdus-Syakur Ibrahim, Maryam Abdull Wahab, Shaik Farid Fauzi, Mohd Hashairi Yazid, Mohd Boniami Ahmad, Mohammad Zikri RD Surgery RD93 Emergency Surgery. Wounds and Injuries Objectives: To emphasise the role of point of care ultrasound (POCUS) as diagnostic modality in investigation of orbital trauma and to share an extremely rare case of eyeball dislocation into anterior cranial fossa. Case Report: A 65-year-old gentleman presented to the hospital after a lorry’s container accidentally fell over his face with complaints of right sided facial pain with loss of right eye vision and missing the right eyeball. Patient was fully conscious, orientated and hemodynamically stable. There was absent of right eye from its orbit and mechanical ptosis of the upper eyelid with intact right facial nerve. Other neurological examinations were normal. Results: Our POCUS showed that the distance between the right eyelid and right eyeball was significantly increased, there was loss of continuity of the orbital roof indicating fracture and dislocation of the bone fragments and the eyeball can be seen using the ultrasound to be dislocated superiorly and posteriorly into the anterior cranial fossa with intact right eye globe. All findings correlate with computed tomography brain scan report. Discussion: Eyeball dislocation into anterior cranial fossa is an extremely rare presentation and this is the 3rd case reported so far. Ultrasound has been proven to be demonstrated satisfactory sensitivity (92%) and specificity (100%) and positive predictive value (100%) in diagnosing orbital fractures when compared to CT scan. Conclusion: Ultrasound users should aware of the ability of ultrasound to diagnose not just orbital wall fracture but also eyeball dislocation and determined its direction of herniation. 2020-03 Article NonPeerReviewed application/pdf en http://irep.iium.edu.my/117087/1/117087_The%20Hidden%20Globe%20a%20Case.pdf Gan, Rick Kye and Abu Hasan, Muhammad Abdus-Syakur and Ibrahim, Maryam and Abdull Wahab, Shaik Farid and Fauzi, Mohd Hashairi and Yazid, Mohd Boniami and Ahmad, Mohammad Zikri (2020) The hidden globe: A case report on traumatic complete dislocation of the right globe into cranial cavity. The Malaysian Journal of Medical Sciences, 27. pp. 37-38. ISSN 1394195X E-ISSN 21804303 https://www.proquest.com/docview/2630953093?sourcetype=Scholarly%20Journals# |
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RD Surgery RD93 Emergency Surgery. Wounds and Injuries |
| spellingShingle |
RD Surgery RD93 Emergency Surgery. Wounds and Injuries Gan, Rick Kye Abu Hasan, Muhammad Abdus-Syakur Ibrahim, Maryam Abdull Wahab, Shaik Farid Fauzi, Mohd Hashairi Yazid, Mohd Boniami Ahmad, Mohammad Zikri The hidden globe: A case report on traumatic complete dislocation of the right globe into cranial cavity |
| description |
Objectives: To emphasise the role of point of care
ultrasound (POCUS) as diagnostic modality in investigation
of orbital trauma and to share an extremely rare case of
eyeball dislocation into anterior cranial fossa.
Case Report: A 65-year-old gentleman presented to
the hospital after a lorry’s container accidentally fell over his
face with complaints of right sided facial pain with loss of
right eye vision and missing the right eyeball.
Patient was fully conscious, orientated and
hemodynamically stable. There was absent of right eye from
its orbit and mechanical ptosis of the upper eyelid with intact
right facial nerve. Other neurological examinations were
normal.
Results: Our POCUS showed that the distance between
the right eyelid and right eyeball was significantly increased,
there was loss of continuity of the orbital roof indicating
fracture and dislocation of the bone fragments and the
eyeball can be seen using the ultrasound to be dislocated
superiorly and posteriorly into the anterior cranial fossa with
intact right eye globe. All findings correlate with computed
tomography brain scan report.
Discussion: Eyeball dislocation into anterior cranial
fossa is an extremely rare presentation and this is the 3rd
case reported so far. Ultrasound has been proven to be
demonstrated satisfactory sensitivity (92%) and specificity
(100%) and positive predictive value (100%) in diagnosing
orbital fractures when compared to CT scan.
Conclusion: Ultrasound users should aware of the
ability of ultrasound to diagnose not just orbital wall fracture
but also eyeball dislocation and determined its direction of
herniation. |
| format |
Article |
| author |
Gan, Rick Kye Abu Hasan, Muhammad Abdus-Syakur Ibrahim, Maryam Abdull Wahab, Shaik Farid Fauzi, Mohd Hashairi Yazid, Mohd Boniami Ahmad, Mohammad Zikri |
| author_facet |
Gan, Rick Kye Abu Hasan, Muhammad Abdus-Syakur Ibrahim, Maryam Abdull Wahab, Shaik Farid Fauzi, Mohd Hashairi Yazid, Mohd Boniami Ahmad, Mohammad Zikri |
| author_sort |
Gan, Rick Kye |
| title |
The hidden globe: A case report on traumatic complete dislocation of the right globe into cranial cavity |
| title_short |
The hidden globe: A case report on traumatic complete dislocation of the right globe into cranial cavity |
| title_full |
The hidden globe: A case report on traumatic complete dislocation of the right globe into cranial cavity |
| title_fullStr |
The hidden globe: A case report on traumatic complete dislocation of the right globe into cranial cavity |
| title_full_unstemmed |
The hidden globe: A case report on traumatic complete dislocation of the right globe into cranial cavity |
| title_sort |
hidden globe: a case report on traumatic complete dislocation of the right globe into cranial cavity |
| publishDate |
2020 |
| url |
http://irep.iium.edu.my/117087/1/117087_The%20Hidden%20Globe%20a%20Case.pdf http://irep.iium.edu.my/117087/ https://www.proquest.com/docview/2630953093?sourcetype=Scholarly%20Journals# |
| _version_ |
1819909419473829888 |
| score |
13.223943 |